Individual
LARISSA WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8300
(540) 961-8465
Mailing address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8300
(540) 961-8465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010069
VA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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